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Withdrawal


Causes of Withdrawal


Withdrawal is caused by the separation of oneself from something else. In this case; withdrawal refers to the discontinuation using of mind-altering substances such as prescription medications, recreational drugs or alcohol.

Withdrawal symptoms can occur after prolonged usage of a substance suddenly stops. Symptoms of withdrawal vary and depend on the substance used, quantity and length of time used. Typically withdrawals make the person feel worse continuously until they reach a plateau where the symptoms eventually begin to dissipate. In some extreme cases withdrawals can be fatal; for example withdrawals from benzodiazepines or alcohol.
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Withdrawal occurs as a result of the building of a tolerance to given substance which in turn builds a physical dependency. Drugs are often abused for the effect they have on the brain. Drugs bind to different parts of the brain and cause different effects on the user. One of the main effects all frequently abused drugs have in common is the effect they have on dopamine. Dopamine is the neurotransmitter responsible for the sensation of pleasure. Drugs will often boost dopamine levels in the brain and so cause pleasure from use. Continuous use of drugs however can lead to withdrawal when the user suddenly stops ingesting the drug.


Symptoms


Dopamine levels will diminish from continuous use of drugs, causing the users 'level of normality' being significantly lowered as pleasure cannot be as easily felt; this is one of the factors that cause withdrawal symptoms. When someone stops using drugs or alcohol, the euphoria felt by the drugs, will cause Dysphoria. The main general symptoms of Dysphoria include depression, anxiety and cravings.

An individual withdrawing from a medication for conditions such as epilepsy or heart conditions may endure more severe or life-threatening symptoms. If attempting to quit any medications one should consult their doctor before detoxification. Sometimes substances will mask hunger, sleeplessness, pain or disease. When one goes into withdrawals these will be felt also; this can be dangerous individuals should be aware that some substances can lead to serious malnutrition, worsen illnesses or can cause physical and mental damage.


Management


Some withdrawal symptoms from drugs will be severe but easily managed without medical care. Others can cause some serious health risks to the user and require medical attention throughout the withdrawal process. Quitting drugs such as nicotine are ones that can be done 'cold turkey' without any serious risk to health. Other substances such as benzodiazepines and alcohol can require medical assistance for potentially fatal withdrawals. Severity of withdrawal is normally factored on the drug itself and how dependent the individual has become.

Withdrawals from prescription medications should be closely monitored by the user's doctor or at least be done under the advice and instruction from a physician. This is not necessarily only due to the withdrawals themselves; medications which are needed for disorders such as schizophrenia and psychosis can be dangerous to withdraw from due to the disorder itself. Always consult the prescribing doctor prior to quitting a prescription medication.



 

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